Fitness Survey

Take the Fitness Survey

First name

Last Name

Email

Phone

Gender *MaleFemale

Age *18-2425-3435-4445-5455+

What is your main reason for wanting to get in better shape or working towards your fitness goal? *Need more energyWant to look better/tonedInjuriesBuild muscle/ strengthImprove athletic performanceOther

What is your most challenging obstacle in being consistent with an exercise plan? *FinancesLack of timeLack of support or encouragementLazyInjuryLack of resources (i.e no access to gym facility, no ride, no shoes etc.)Other

Currently, how often do you typically exercise week? *0-12-34-56-7

Where do you plan or prefer to do your workouts? *HomeWork GymCommercial gymOutsideGroup ClassesOther

What type of exercise do you enjoy most? *Lift weightsWalkRunHikeSwimDanceYogaAerobicsPilatesPlay a team sportother

Are you ready to make a change?Yes, lets do this!No, I'm happy where I'm at.